SW1190801_Application_20190822

DEMLR USE ONLY
Date Received
Fee Paid
Permit Number
-ZZ-Zo
Z 'r4H t 856S
I SW it 9 o So -[-
Applicable Rules:
❑ Coastal SW -1995 ❑ Coastal SW -
2008 Fl Ph II - Post Construction
(select all that apply)
❑ Non -Coastal SW- HQW/ORW Waters
❑ Universal Stormwater Management flan
❑ Other WQ M mt Plan:
State of North Carolina R E C E I V E
Department of Environment and Natural Resources AUG 22 2019
Division of Energy, Mineral and Land Resources
DENR-LAND QUALITY
STORMWATER MANAGEMENT PERMIT APPLICATION ITCYRMTER PERMITTING
This form may be photocopied for use as an original
GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name should be consistent with project name oit plaits,
specifications, letters, operation and maintenance agreements, etc.):
Leicester Fire Station
2. Location of Project (street address):
1563 Alexander Road
City:Leicester County:Buncombe Zip:28748
3. Directions to project (from nearest major intersection):
Patton Ave to New leicster Highway Right on Alexander Road
4. Latitude:35° 39' 29.6" N Longitude:82° 41' 35.9" W of the main entrance to the project.
II. PERMIT INFORMATION:
a. Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modificationt
tRenewals with modifications also requires SWU-102 - Renewal Application Form
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) . and the status of
construction: ❑Not Started ❑Partially Completed* ❑ Completed* *provide a designer's certification
2. Specify the type of project (check one):
®Low Density ❑High Density ❑Drains to an Offsite Stormwater System []Other
3. If this application is being submitted as the result of a previously returned application or d letter froin
DEMLR requesting a state stormwater management permit application, list the stormwater project number,
if assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑CAMA Major ®Sedimentation/Erosion Control: 4.68 ac of Disturbed Area
❑NPDES Industrial Stormwater 1-1404/401 Permit: Proposed Impacts
b.If any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit:
5. Is the project located within 5 miles of a public airport? ®No ❑Yes
Form SWU-101 Version Oct. 31, 2013 Page 1 of 6

I
If yes, see S.L. 2012-200, Part VI: hM2://12ortal.ncdenr.org/web/lr/rules-and-regulations
III. CONTACT INFORMATION
1. a. Print Applicant / Signing Official's name and title (specifically the developer, Property owner, lessee,
designated government official, individual, etc. who owns the project):
Applicant/Organization:Leicester Volunteer Fire Department
Signing Official &
b.Coiitact iidorination for person listed in item la above:
Street Address:2852 New Leicster Highway
City:Leicester State:NC Zip:28748
Mailing Address (if applicable):PO BOX 100
City:Leicester.
State:NC Zip:ZF48
Phone: [phone] Fax:
i ( L
Email:ci� ��;�es+PrF;*p��,, �- 1,JIeSk-;e-ieice54eCc3t-%.
bye
c. Please check the appropriate box. The applicant listed above is:
❑ The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below.)
IRWrint Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/Organization: Leitce--64eryoij,�+eet, P!/^e
Signing Official & Title: _i�c J. �-e ..), G ,4 l e.4, 5t.
�c'c,�e � .,rt. - � ca ^� � {� � t•e; �� tS
ontact information for person listed in item 2a above: g
Street Address: Z Z (� �.,3 L C' e 5 I- �1 1, L,✓ C,-✓
City: L e i e State: Ne-- Zip: Z 3 74 U
Mailing Address (if applicable):_ 0 U
City: L-e- i s e. �e.i` State: N_ Zip: Z b 7
Phone: ( 6Zb) 6 B 3 -ii- 31-v3 3 Fax: ( u 2- b 1 (ro 83 _7 7
Email: ,cl�e 1 i e_e..4ef-P1,-e.- c cn
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization:Michael Esposito, ADW Architects
Signing Official & Title:Principal
b. Contact information for person listed in item 3a above:
Mailing Address:2815 Coliseum centre Drive
City:Charlotte, NC 28217 State:NC Zip:28217
Phone: (704 ) 379-1919 Fax: ( )
Email:[e-mail]
4. Local jurisdiction for building permits: Buncombe County
Print of ContactJoshua freeman I I , Phone #: (828 ) 250-4850
Form SWU-101 Version Oct. 31, 2013 Page 2 of 7

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Stormwater runoff will be treate by a dry detetnion basin and a bioretention basin.
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of a Site Specific Development Plan or PUD Approval Date:
Valid Building Permit Issued Date:
Other: Date:
b.If claiming vested rights, idcritify the regUldtiuu(s) the Piuject lids beeit designed in accordance with:
Coastal SW —1995 ❑ Ph II — Post Construction
3. Stormwater runoff from this project drains to the French Broad River basin.
4. Total Property Area: 10.68 acres
5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0 acres
7. Total Property Area (4) — Total Coastal Wetlands Area (5) — Total Surface Water Area (6) = Total Project
Area':10.68 acres
+ Total project area shall be calculated to exclude the following: the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NHW) line or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (or MHW) line. The resultant project area is used to
calculate overall percent built upon area (BUA). Non -coastal wetlands landward of the NHW (or MHW) line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 =14.68
9. How many drainage areas does the project have?1 (For high density, count 1 for each proposed engineered
stormwater BMP. For low density and other projects, use 1 for the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Form SWU-101 Version Oct. 31, 2013 Page 3 of 7

Basin Information
Drainage Area 1
Drainage Area _
Drainage Area _
Drainage Area _
Receiving Stream Name
Newfound
Creek
Stream Class
C
Stream Index Number *
6-84
Total Drainage Area (sf)
540579.6
On -site Drainage Area (sf)
465220.8
Off -site Drainage Area (sf)
75358.8
Proposed Impervious Area** (sf)
68,632
% Impervious Areax1 (total)
14
Impervious" Surface Area
Drainage Area _
Drainage Area
Drainage Area _
Drainage Area _
On -site Buildings/Lots (sf)
18608.8
Uii-site Streets (sf)
31314.2
On -site Parkin (sf)
18709 ?
On -site Sidewalks (sf)
Other on -site (sf)
0
Future (sf)
0
Off -site (sf)
0
Existing BUA*** (sf)
68632.23
Total (sf):
* Stream Class and Index Number can be determined at: http:l)portal.ncdenr.orglweblwglpslcsu/classifications
** I ervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
***Report only that amount of existing BUA that will remain after development. Do not report any existing BUA that
is to be removed and which will be replaced by new BUA.
11. How was the off -site impervious area listed above determined? Provide documentation. NA
Proieets in Union County: Contact DEMLR Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that may he subject to more stringent stormwater requirements as per 15A NCA C 02B . 0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from http://12ortal.ncdenr.org/web/wq/ws/su/bmi2-maiiiLial.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Energy, Mineral and
Land Resources (DEMLR). A complete package includes all of the items listed below. A detailed application
instruction sheet and BMP checklists are available from
htW://12ortal.ncdenr.org/web/wq/ws/su/statesw/forms does. The complete application package should be
submitted to the appropriate DEMLR Office. (The appropriate office may be found by locating project on the
interactive online map at http://portal.ncdenr.org/web/wgl/ws/su/maps.)
Please indicate that the following required information have been provided by initialing in the space provided
for each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from http://portal.ncdenr.org/web/wgl/ws/su/statesw/forms does.
Initials
1. Original and one copy of the Stormwater Management Permit Application Form.
—
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants J�'t
Form. (if required as per Part VII below) \
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M r�l�
agreement(s) for each BMP.
Form SWU-101 Version Oct. 31, 2013 Page 4 of 7

4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to )67
http://www.envhelp.org/pages/onestol2exi2ress.html for information on the Express program
died the associated fees. Contact the dpproprlate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/management for
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the J�'I
receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the 1/2
mile radius on the map.
7. Scaled, sighed and dated calculations (one copy).
8. Two sets of plans folded to 8.5" x 14" (scaled, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required). r
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify J-1
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5"x11" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DEMLR to verifij the SHWT prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: Page No: _
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item 1a, 2a, and/or 3a per 15A NCAC 2H.1003(e).
The corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
http://w w w.secretary.state.nc.us/Corporations/CSearch.asl2x
+,
Form SWU-101 Version Oct. 31, 2013 Page 5 of 7

VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
LWA dllocations,vary, d table listing each tot numbet, lot sire, and the Atowab'le bLJilt-upon area must be
provided as an attachment to the completed and notarized deed restriction form. The appropriate deed
restrictions and protective covenants forms can be downloaded from htW://portal.ncdenr.org/web/lr/state-
stormwater-forms does. Download the latest versions for each submittal.
Ili the iinStannceS wlnene the dpplicdnrt is diffeieint than the property owner, it is the responsibility of the property
owner to signs the deed iesUiaioits ennd protective covenuits form while tine appllc�utt is responsible for ensuring
that the dead restrictions are recorded
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DEMLR, and that they will be recorded prior to the sale of any lot.
VIII. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer:Tacob Grieb, PE
Consulting Firm: Mattern & Craig
Mailing Address:403 E Market St
City:Tohnson City State:TNZip:3'l60"1
Phone: (423 ) 979-2220 Fax: ( )
Email:[e-mail]
ROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section) AA
I, (print or type name of person listed in Contact Information, item 2a)-Aeon ate- -J,yoejbbka Nlr , certify that I
own the property identified in this permit application, and thus give permission to (print or type name of person
listed in Contact Information, item 1a) -TL&.n "e- S GcJ l&k, It. with (print or type name of organization listed in
Contact Information, item 1a) i"e- ?. Gjle k, 3h to develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
AUG 22 2019
DENR-LAND QUALITY
STORMWATER PERMITTING
Form SWU-101 Version Oct. 31, 2013 Page 6 of 7

If I
As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DI MLR Stormwater permit reverts back
to me, the property owner. As the property owner, it is my responsibility to notify DEMLR immediately and
submit a completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater
treatment facility without a valid permit. I understand that the operation of a stormwater treatment facility
without a valid permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement
action including the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature: `� Q Date: '7 I za f Zvi 19
[„ a Notary Public for the State of fiq 0 `F An)-1 'V-ounty of
aj> do hereby certify that i t�l' personally appeared
before me this a day of and a knowledlge the duy execution}�of the application for
a stormwater permit. Witness my hand and official seal,-/Q`D?C`C �,� 1
AMANDA L SHETLEY
Notary Public - North Carolina
Madison County
My Commission Expires Mar 12, 2023
X. APPLICANT'S CERTIFICATION
SEAL
My commission expires � I�
I, (print or type name of person listed in Contact Information, item 1a) 5�-ee-J,t-e- T. fit':
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormwater rules under 15A NCAC 21-1.1000 and any other applicable state stormwater requirements.
Date: -7/ 43 /20r !2
a Notary Public for the State ofK��1 V 1 ftxN1 f-C;jCounty of
do hereby certify that
before me this day of
a stormwater permit. Witness my hand and official seal,
My commission
personally appeared
tion of the application for
Form SWU-101 Version Oct. 31, 2013 Page 7 of 7

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I Illilll iillll III IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII
Recorded: 12/28/20100atT03e39C13 PM
Fee Amt: $655.00 Page i of 3
Revenue Tax: $630.00
Workflow# 0000047595-0001
Buncombe County, NC
otlu W. DeBruhi Register of Deeds
BK4848 PG1227-1229
:3�e NORTH CAROLING WARRANTY DEED
Excise Tax: $ 6AO.00
Parcel ID No.
By:
9701-24-3454-00000
Verified by
County on the day of , 20
Mail/BOX to:;rl
This instrument was prepared by: John C. Frue, P.A., 20 Battery Park Ave, Ste 405, Asheville, NC 28801
Brief description for the Index: 10.96 Acres +/-, New Leicester Highway
THIS DEED made this 22"d day of
GRANTOR
Gary Meadows
and wife,
Donna M. Meadows
2783 New Leicester Hwy
Leicester, NC 28748
December , 2010 , by and between
GRANTEE
Leicester Volunteer Fire Department, Incorporated,
A North Carolina Corporation
2852 New Leicester Hwy
Leicester, NC 28748
Enter in appropriate block for each party: name, address, and, if appropriate, character of entity, e.g. corporation or partnership
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include
singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has
and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot or parcel of land situated
in the City of Township, Buncombe County, North Carolina and more
particularly described as follows:
See Attached Exhibit "A" Incorporated Herein By Reference
The property hereinabove described was acquired by Grantor by instrument recorded in Book 1810 Page 669
A map showing the above described property is recorded in Plat Book 128 Page 113

a
T ` ':AVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in
fee simple.
And the Grantor covenants with the Grantee, that Grantor has done nothing to impair such title as Grantor received, and Grantor will
warrant and defend the title against the lawful claims of all persons claiming by, under or through Grantor, other than the following
exceptions:
The provisions of all applicable zoning and land use ordinances, statutes and regulations, all restrictive covenants and utility
easements of record, if any; and 2010 ad valo►ein taxes.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing a of the day and year fir t above written.
(SEAL)
Gary Meadows
(SEAL)
Donna M. Meadows
(SEAL)
(SEAL)
State of North Carolina , County of Buncombe
I, the undersigned Notary Public of the County and State aforesaid, certify that Gary Meadows and Donna M. Meadows
personally appeared before me this day and acknowledged the due execution of the foregoing instrument for the purposes therein
expressed. Witness my hand and Notarial stamp or seal this day of December 2010
.Notar.Y
North Carolina
be, t�V'
My commission expi:as: 01-07-15
C- L
Notary Publ
State of , County of
Tile; fuiegoiag CUILifl(ate(s) of
is/are certified to be correct. This instrument and this certificate are duly registered at the date and time and in the Book and Page shown
on the first page hereof.
Register of Deeds for
County
By: Deputy/Assistant - Register of Deeds

3
EXHIBIT "A"
All that tract or parcel of land lying and being in Buncombe County, North Carolina,
and being more particularly described as follows:
BEING ALL that certain 10.20 acre tract of land as same is set forth and described on a
Plat of survey for Leicester Volunteer Fire_ Department, laic. as same is set forth and
described on Plat Book 128, Page 113, Buncombe County, North Carolina Registry,
reference to which said Plat is hereby made for a more particular description.
Together with the benefits and subject to the burdens of a fourteen foot wide,
perpetual, non-exclusive Right of Way and Easement for ingress, egress, and regress as
same presently exists and as same is extended leading from NC Highway 63 (AKA
Leicester Highway) to the 10.20 acre tract described herein and as set forth on said Plat
Book 128, Page 113, Buncombe County, North Carolina Registry.
Being a portion of that certain tract or parcel of land as same is set forth and described
on a Deed dated August 3,1994 from Lenoir J. Bridges, unremarried widow of Garland
Fairdie Bridges to Gary Meadows and recorded on Deed Book 1810, Page 669,
Buncombe County, North Carolina Registry, reference to which said Deed is hereby
made for a more particular description.

%J[JCI QIIVI I OI IYIQ11IiLCl IQI IVC /'1y1 CCIIICI Ift
Project Name: I Leicster Fire Station
Project Location:11563 Alexander Road, Leicester NC
Cover Page
Maintenance records shall be kept on the following BMP(s). This maintenance record shall be kept in a log in a known set
location. Any deficient BMP elements noted in the inspection will be corrected, repaired, or replaced immediately. These
deficiencies can affect the integrity of structures, safety of the public, and the pollutant removal efficiency of the BMP(s).
The BMP(s) on this project include (check all that apply & cc
Bioretention Cell Quantity:
Dry Detention Basin
Grassed Swale
Green Roof
Inlftratwri Basui
Infiltration Trench
Level SpreaderNFS
Permeable Pavement
Proprietary System
Rainwater Harvesting
Sand Filter
Stormwater Wetland
Wet Detention Basin
Disconnected Impervious Area
User Defined BMP
Quantity:
Quantity:
Quantity:
QuanhLy.
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Present:
Present:
ding O&M tables wil
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed
for each BMP above, and attached O&M tables. I agree to notify NCDENR of any problems with the system or prior to any
changes to the system or responsible party.
* Responsible Party:
Title & Organization:
Street address:
City, state, zip:
Phone number(s):
Email:
T tra o r
Z
Le i c e5 e C
3
4.a7e,
Sign : Date: 7/Z3 Zo/
atur
I, a Notary Public for the State of ''
County of W GJ ImD do hearby certify that '
personally appeared before me this day of D ov, and
acknowledge the due execution of theOperations and: 7Mintenance Agreement .
Witness my hand and official seal,
7/17/2(
AMANDA L SHETLEY
Notary Public - North Cai olina
Madison County
My Commission Expires Mar f 2, 2023

Important operation and maintenance procedures:
- Immediately after the bioretention cell is established, the plants will be watered twice weekly if needed until the plants
become established (commonly six weeks).
- Snow, mulch or any other material will NEVER be piled on the surface of the bioretention cell.
- Wheeled or tracked equipment will NEVER be driven over the bioretention planting surface.
- Special care will be taken to prevent sediment from entering the bioretention cell.
- If standing water is present 2 days after rainfall, conduct an infiltration test of the soil media.
After the bloretentlon cell Is established, inspect it quarterly. Inspection activities shall be performed as follows and maintenanc(
activites shall commence immediately to remediate any problems observed per the table below.
BMP element:
Potential problem:
How to remediate the problem:
The entire BMP
Trash/debris Is present.
Remove the trash/debris.
The perimeter of the BMP
Areas of bare soil and/or
Regrade the soil to remove the gully, and plant a ground cover and
erosive gullies have formed.
water until it is established. Provide lime and a one-time fertilizer
application.
Vegetation is too short or too
Maintain vegetation at a height of approximately six inches.
long.
The inlet device
The pipe is clogged.
Unclog the pipe. Dispose of the sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged.
Erosion is occurring in the
Regrade the swale to smooth it over and provide erosion control
swale.
devices such as reinforced turf matting or riprap to avoid future
problems.
Stone verge is clogged or
Remove sediment and replace with clean stone.
covered in sediment (if
applicable).
The pretreatment area
Flow is bypassing
Regrade if necessary to route all flow to the pretreatment area.
pretreatment area and/or
Restabilize the area after grading.
gullies have formed.
Sediment has accumulated to
Search for the source of the sediment and remedy the problem if
a depth greater than three
possible. Remove the sediment and restabilize the pretreatment are,
inches.
Erosion has occurred.
Provide additional erosion protection such as reinforced turf matting c
riprap if needed to prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by hand.
The bioretention cell:
Best professional practices
Prune according to best professional practices.
vegetation
show that pruning is needed
to maintain optimal plant
health.
Plants are dead, diseased or
Determine the source of the problem: soils, hydrology, disease, etc.
dying.
Romody the problem and replace plants. Provide a one-time fertilize
application to establish the ground cover if a soil test indicates it is
necessary.
Tree stakes/wires are present
Remove tree stake/wires (which can kill the tree if not removed).
six months after planting.
ORM-EZ 7/17/2(

OIVI CGCtILIVII IYI QII IICIICII IL.0 RCl{UII CIIICIIL, �L.VIILIIIUCV/
e'MF element:
Potential problem:
How to remediate the problem:
The bioretention cell:
Mulch is breaking down or
Spot mulch if there are only random void areas. Replace whole mulc
soils and mulch
has floated away.
layer if necessary. Remove the remaining much and replace with
triple shredded hard wood mulch at a maximum depth of three inches
Soils and/or mulch are
Determine the extent of the clogging - remove and replace either just
clogged with sediment.
the top layers or the entire media as needed. Dispose of the spoil in
an appropriate off -site location. Use triple shredded hard wood mulct
at a maximum depth of three inches. Search for the source of the
sediment and remedy the problem If possible.
An annual soil test shows that
Dolomitic lime shall be applied as recommended per the soil test and
pH has dropped or heavy
toxic soils shall be removed, disposed of properly and replaced with
metals have accumulated in
new planting media.
the soil media.
The underdrain system
Clogging has occurred.
Wash out the underdrain system.
(if applicable)
The drop inlet
Clogging has occurred.
Clean out the drop inlet. Dispose of the sediment off -site.
The drop inlet is damaged
Repair or replace the drop inlet.
The receiving water
Erosion or other signs of
Contact the local NC Department of Environment and Natural
damage have occurred at the
Resources Regional Office.
outlet.
ORM-EZ 7/17/2(

North Carolina Secretary of State Search Results
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Non -Profit Corporation
Legal Name
Leicester Volunteer Fire Department, Incorporated
Information
Sosld: 0084730
Status: Current -Active
Annual Report Status: Not Applicable
Citizenship: Domestic
Date Formed: 7/8/1965
Registered Agent: McIntosh, Ralph
Addresses
Reg Office
Rt 1 Box 366
Leicester, NC 00000
Reg Mailing
Rt 1 Box 366
Leicester, NC 00000
https://www.sosnc.gov/online services/search/Business Registration_Results 8/26/2019

M&C Form #101-A
ze
Mafte rn& C Xc�iC,
ENGINEERS SURVEYORS
403 EAST MARKET STREET
JOHNSON CITY, TENNESSEE 37601
[phone]
FAX [phone]
To
Division of Energy, Mineral & Land Resources
Stormwater Program
1612 Mail Set vice Centel
512 North Salisbury Stroot
Raleigh, NC 27699
WE ARE SENDING YOU ® Attached
❑ Shop drawings ❑ Prints
❑ Copy of letter ❑ Change order
H LETTER OF TRANSMITTAL
❑ FAX TRANSMITTAL
No. Pages Including Transmittal Sheet
DATE 8/21/2019 1
COMM. NO. 3827
ATTENTION Division of Energy, Mineral & Land
Resources Stonnwater Program
P-1 Leicester Fire Department Stormwater Permit
❑ Under separate cover via_
® Plans ❑ Samples
the following items:
❑ Specification
SETS
DATE
NO.
DESCRIPTION
2
8/21/2019
Plans
1
8/21/2019
Stormwater Report
1
8/21/2019
Geotechnical Report
1
8/21/2019
Deed
1
8/21/2019
Fee- Check Number:26744, $505.00
1
8/21/2019
Permit Application
THESE ARE TRANSMITTED as checked below:
® For approval
® For your use
❑ As requested
❑ For review and comment
❑ FORBIDS DUE
REMARKS:
COPY TO:
6/30/99
® Approved as submitted
❑ Approved as noted
❑ Returned for corrections
u
❑ PRINTS RETURNED AFTER LOAN TO US
❑ Resubmit copies for approval
❑ Submit copies for distribution
❑ Return corrected prints
Jacob D. Grieb
I:\3827 Leicester Fire Department\DOCUMENTS\3827-Letter of Transmittal- Div EMLRSP.docx